Individual provider · Type 1 NPI

Enes Mugnolo, AGPCNP

Adult Health Nurse Practitioner · Lombard, IL

NPI number 1609396860 Active

Practice location

1088 Kufrin Way
Lombard, IL 60148-3429

Mailing address

PO Box 7405
Villa Park, IL 60181-7405

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X209.014796 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X209.014796 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1609396860

Enes Mugnolo, AGPCNP's National Provider Identifier is 1609396860, issued on Jun 20, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lombard, IL. The record was last updated on Jun 20, 2017.